Table 3.
Serotype distribution (total number of isolates received) and resistance to erythromycin (Ery) and clindamycin (Cli) among invasive Streptococcus agalactiae (GBS) isolates received at Statens Serum Institut (SSI), 2005–2018.
| Serotype | Number of isolates | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | Total | %a,b | P-value (Z score)c/r (95% CI) and P-valued |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Ia | Total | 15 | 15 | 15 | 18 | 24 | 19 | 27 | 26 | 23 | 22 | 25 | 25 | 30 | 24 | 308 | 16.4 | P = 0.69 (0.49)c |
| Ery | 1 | 2 | 1 | 1 | 4 | 4 | 7 | 3 | 4 | 5 | 10 | 6 | 5 | 6 | 59 | 19.2 |
r = 0.74 (0.32–0.91) P = 0.004d* |
|
| Cli | 0 | 1 | 1 | 0 | 1 | 0 | 1 | 1 | 1 | 0 | 2 | 0 | 2 | 4 | 14 | 4.5 |
r = 0.47 (−0.10–0.81) P = 0.09d |
|
| Ib | Total | 14 | 15 | 9 | 17 | 10 | 15 | 7 | 14 | 16 | 5 | 15 | 17 | 15 | 13 | 182 | 9.7 | P = 0.99 (2.52)c |
| Ery | 1 | 0 | 1 | 2 | 0 | 0 | 0 | 2 | 2 | 0 | 1 | 1 | 1 | 2 | 13 | 7.1 |
r = 0.42 (−0.16–0.78) P = 0.13d |
|
| Cli | 1 | 0 | 1 | 1 | 0 | 0 | 0 | 2 | 1 | 0 | 1 | 1 | 1 | 2 | 11 | 6.0 |
r = 0.26 (−0.33–0.70) P = 0.37d |
|
| II | Total | 9 | 7 | 4 | 9 | 21 | 9 | 17 | 11 | 11 | 20 | 20 | 18 | 16 | 24 | 196 | 10.5 | P = 0.04 (−1.74)c* |
| Ery | 0 | 1 | 0 | 2 | 4 | 4 | 2 | 2 | 2 | 6 | 5 | 4 | 2 | 6 | 40 | 20.4 |
r = 0.83 (0.52–0.95) P = 0.0004d* |
|
| Cli | 0 | 1 | 0 | 2 | 5 | 4 | 2 | 3 | 1 | 6 | 5 | 4 | 1 | 6 | 40 | 20.4 |
r = 0.81 (0.48–0.94) P = 0.0007d* |
|
| III | Total | 18 | 31 | 32 | 53 | 48 | 39 | 37 | 36 | 39 | 48 | 36 | 45 | 42 | 51 | 555 | 29.6 | P = 0.98 (2.08)c |
| Ery | 3 | 2 | 1 | 3 | 5 | 8 | 7 | 4 | 11 | 11 | 8 | 15 | 9 | 11 | 98 | 17.7 |
r = 0.54 (−0.01–0.84) P = 0.0487d |
|
| Cli | 3 | 1 | 2 | 5 | 7 | 7 | 7 | 3 | 10 | 8 | 8 | 15 | 9 | 11 | 96 | 17.3 |
r = 0.60 (0.08–0.86) P = 0.0261d* |
|
| IV | Total | 4 | 6 | 4 | 6 | 1 | 6 | 7 | 6 | 6 | 10 | 6 | 10 | 5 | 10 | 87 | 4.6 | P = 0.35 (−0.39)c |
| Ery | 2 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 3 | 0 | 0 | 0 | 3 | 9 | 10.3 |
r = 0.32 (−0.27–0.74) P = 0.27d |
|
| Cli | 2 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 3 | 0 | 0 | 0 | 2 | 8 | 9.2 |
r = 0.29 (−0.30–0.72) P = 0.31d |
|
| V | Total | 15 | 10 | 21 | 15 | 17 | 17 | 13 | 14 | 12 | 13 | 19 | 34 | 20 | 33 | 253 | 13.5 | P = 0.31 (−0.48)c |
| Ery | 1 | 2 | 3 | 10 | 9 | 6 | 6 | 5 | 1 | 2 | 2 | 6 | 6 | 5 | 64 | 25.3 |
r = 0.36 (−0.22–0.76) P = 0.20d |
|
| Cli | 1 | 2 | 3 | 8 | 9 | 6 | 6 | 5 | 2 | 1 | 2 | 5 | 6 | 4 | 60 | 23.7 |
r = 0.27 (−0.32–0.71) P = 0.35d |
|
| VI | Total | 0 | 0 | 0 | 0 | 4 | 0 | 0 | 2 | 2 | 0 | 3 | 2 | 0 | 4 | 17 | 0.9 | P = 0.055 (−1.60)c |
| Ery | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | Not applicable | |
| Cli | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | Not applicable | |
| VII | Total | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 4 | 0.2 | P = 0.65 (0.40)c |
| Ery | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | Not applicable | |
| Cli | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | Not applicable | |
| VIII | Total | 1 | 2 | 0 | 3 | 1 | 2 | 3 | 5 | 3 | 3 | 3 | 6 | 6 | 9 | 47 | 2.5 | P = 0.004 (−2.66)c* |
| Ery | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 2.1 |
r = −0.21 (−0.68–0.37) P = 0.64d |
|
| Cli | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 2.1 |
r = −0.21 (−0.68–0.37) P = 0.64d |
|
| IX | Total | 2 | 0 | 4 | 2 | 1 | 0 | 1 | 2 | 0 | 6 | 2 | 9 | 3 | 7 | 39 | 2.1 | P = 0.01 (−2.19)c* |
| Ery | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | Not applicable | |
| Cli | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | Not applicable | |
| NT | Total | 6 | 6 | 9 | 7 | 15 | 22 | 17 | 10 | 18 | 16 | 8 | 14 | 13 | 26 | 187 | 9.8 | P = 0.22 (−0.76)c |
| Ery | 1 | 0 | 2 | 2 | 9 | 8 | 4 | 1 | 3 | 4 | 3 | 2 | 1 | 5 | 45 | 24.1 |
r = 0.85 (0.57–0.95) P = 0.0002d* |
|
| Cli | 1 | 0 | 1 | 2 | 7 | 6 | 5 | 1 | 3 | 1 | 3 | 2 | 2 | 2 | 36 | 19.3 |
r = 0.82 (0.50–0.94) P = 0.0006d* |
|
| Total | Total | 84 | 92 | 99 | 130 | 142 | 130 | 129 | 126 | 131 | 143 | 137 | 181 | 150 | 201 | 1875 | 100.0 | |
| Ery | 9 | 8 | 8 | 20 | 31 | 31 | 26 | 17 | 23 | 31 | 29 | 34 | 24 | 38 | 329 | 17.5 | P = 0.011 (−2.29)c* | |
| Cli | 8 | 6 | 8 | 18 | 29 | 24 | 21 | 15 | 18 | 19 | 21 | 27 | 21 | 31 | 266 | 14.2 | P = 0.09 (−1.36)c |
The clindamycin data include the inducible clindamycin resistance isolates.
The total % represents percentage of a specific serotype vs. total number of isolates.
The % of resistant (Ery, Cli) serotype specific isolates vs. total number of serotype specific isolates.
Asymptotic Cochran–Armitage trend test P-value (Z-score).
Spearman r correlation with 95% CI (lower CI; upper CI) and P-value, measuring the correlation between the total number of isolates and the resistance isolates.
Value is statistically significant if P < 0.05.